Cumulative prostatitis is a complication of a chronic inflammatory process in the prostate gland. With this disease, a stone forms in the secretory pores of the prostate and alveoli. As a result of the development of the pathological process, the patient's urge to urinate becomes more frequent, there are pains in the perineum and lower abdomen and the erection weakens. You should not continue the course of this disease, as it can eventually lead to a number of health problems.
What is cumulative prostatitis?
This disease is a form of chronic prostatitis. The disease is characterized by the formation of prostate stones or stones, which is one of the most common consequences of a prolonged inflammatory process observed in the prostate gland.
Prostate stones are most often found during a routine examination in about 9% of men of different ages.
There are three age peaks in the incidence of this form of prostatitis:
- 30-39 years old. As a rule, the disease is not detected in patients under 30 years of age. However, the disease is gradually becoming younger. In people in this age range, the development of passive prostatitis is associated with a long course of chronic prostatitis caused by gonorrhea, chlamydia, ureaplasmosis or mycoplasmosis.
- 40-59 years old. In men in this age group, the disease most often causes prostate adenoma.
- Over 60 years old. In this case, suffocating prostatitis most often develops in the context of the elimination of sexual function.
Causes and risk factors
The formation of stones in the prostate gland can be due to two types of causes:
- True or primary, which are characterized by the immediate development of the disease in the pores of the gland or alveoli.
- Secondary or false, in which there is migration of stones from the upper urinary system. Most often, the site of their formation is the bladder, kidneys or urethra. The reason for the development of suffocating prostatitis may be urolithiasis.
Depending on the nature of the onset of the disease, the reasons for its development are divided into two groups:
- Exogenous. In this case, we are talking about those factors that are not related to the work of the body, but act on it from the outside. This includes drug addiction, smoking or alcohol abuse.
- Endogenous. Accumulations occur in the context of any disturbances in the functioning of the body. We are talking about organ injuries or complications after surgery. Bacterial damage to the prostate is also associated with these factors.
Alcohol abuse can trigger the development of severe prostatitis in men.
Cumulative prostatitis usually develops against the background of stagnant, inflammatory changes in the prostate. Such processes occur due to insufficient emptying of the prostate glands, so the following factors are the main causes of the disease:
- lack of regular sex life.
- the dominance of a sedentary lifestyle.
- replacing sex with masturbation.
- bad habits such as alcoholism or smoking.
- inflammatory processes of the prostate gland caused by the penetration of germs into the organ.
Experts distinguish between two main pathological mechanisms that lead to the formation of stones in the organ and its pores:
- Violation of the secretory function, as a result of which a significant stagnation of prostate secretion is formed.
- Dropping urine into the prostate cavity. This can happen in the context of improper functioning of the urogenital system, the formation of fistulas and the influence of certain other negative factors.
The signs of prostatitis suffocation are in many ways similar to the development of chronic inflammation of the prostate gland, but are more pronounced. Most patients diagnosed with this type of prostatitis complain of difficulty and pain when urinating.
The difference from chronic prostatitis in this case is the pain that exists in the patient around the clock, and not just at night. The reason for such a clinical picture is most often the disturbed process of urine outflow and prostate secretions. This is due to complete or partial occlusion of the pore with stone.
Some other symptoms of the disease should also be noted:
- The presence of pain in the pelvis and perineum. In addition, they can occur not only when urinating. Patients have unpleasant sensations in the tail and lower abdomen, which do not depend on the specific time of day.
- Abnormal impurities appear in the semen. Bloody discharge is often found in it and only in extreme cases may there be pus.
- Pain in urination in the context of frequent false desires. In most patients, very little urine is excreted. However, it may be completely absent.
- Erectile dysfunction. Due to the fact that the prostate gland pore is blocked, the normal outflow of sperm from the organ is disrupted. All this leads to the impossibility of completing the intercourse.
In the most severe cases of the disease, the patient may not have an erection and significantly reduce libido.
MRI scans give good results for accurate diagnosis of the disease.
Before treating prostatitis stone, the patient should be carefully examined. The urologist diagnoses this disease. He is obliged to make a preliminary diagnosis based on the patient's complaints, as well as the subsequent physical and instrumental examination. Includes the following procedures:
- Digital rectal examination of the prostate gland. It is performed by touch. In the presence of prostatitis asphyxia, the patient has a type of flu and an abnormal stone surface.
- Prostate transrectal ultrasound. Through this process, stones are identified that have the appearance of ultrasonic formations with a distinct acoustic path. The number of such formations, their size, location and structure are studied.
- Research urography. The procedure allows you to determine the presence of prostatitis.
- MRI and CT of the prostate. These techniques are highly effective and are used to confirm the results of previous studies.
As additional surgeries are used: urethrography, pyelography and cystography.
In addition to instrumental techniques, the diagnosis of passive prostatitis includes laboratory tests, which include the following procedures:
- Study of prostate secretion.
- Analysis of bacteriological culture of urine and material from the urethra.
- PCR study, in which scraping is obtained, was studied for the presence of genital infections.
- BLOOD TESTS. Most often, biochemical analysis is given.
- Urine analysis.
- Sperm analysis for biochemistry.
- Bacteriological seeding of ejaculation.
If we are talking about conducting a differential diagnosis, then its task is to differentiate suffocating prostatitis from tuberculosis, prostate adenoma, prostate oncology, as well as from different types of prostatitis.
How to treat suffocating prostatitis? Treatment for prostatitis stone is prescribed by a doctor based on a thorough diagnosis. Depending on the stage of the disease, different treatment options are possible. Let's look at each of them in more detail.
The course of treatment is prescribed by the doctor strictly individually.
Treatment of chronic prostatitis asphyxia with pills can take from one to three months. This type of treatment is mainly aimed at achieving a stable remission and preventing the complications of the disease.
Regardless of the cause of the disease, the patient is prescribed antibacterial drugs. Antibiotics are prescribed based on the results of the analysis of urethral secretion and urine culture.
The most common treatments used to treat prostatitis stone are:
- Fluoroquinolones. This is the most effective group of antibiotics used to treat suffocating prostatitis. However, these funds can be used only after the presence of tuberculosis is completely ruled out.
- Tetracyclines. They are used less often, as they often cause side effects.
- penicillins. Classic antibiotics that have a wide range of effects on the pathogenic microflora.
The following physiotherapy techniques are used to enhance the effect of drug therapy and improve prostate function:
- Magnetotherapy. It is used to eliminate edema and normalize the circulatory process.
- Laser treatment. Eliminates pain syndrome and helps reduce the inflammatory process.
- Prostate massage. It allows you to restore the patency of the ducts, improving blood circulation to the prostate gland.
In some cases, treating prostatitis stone requires a radical approach. In this case, various surgical techniques are used, the most popular of which is prostatectomy.
Sport is the best prevention of pathological prostatitis.
If the patient does not receive timely treatment, the patient may develop chronic fatty prostatitis. This can be fraught with the following dangerous complications:
- the development of an abscess;
- prostate fibrosis;
- power problems;
- urinary incontinence;
- various forms of bubbles.
Therefore, it is very important to detect fatty prostatitis in time and start its treatment. As a precaution against this disease, one should give up alcohol and smoking, exercise, treat infections early and prevent hypothermia.